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ORDER FOR COPIES OF VETERANS RECORDS
Please see Page 1 of this form for instructions.	\
Da!qftac*ivad (NNMS)
1. FILE TO BE SEARCHED i?i rrj bounty-land warrant applica one box ONLY) I	I PENSION klJ (Service before 1856 only)			TION I?i |	| MILITARY	
# REQUIRED MINIMUM Identification of veteran It9ms2. 3,4, Snnd6when applicable) MUST b&iXtnptetjidier your order cannot be serviced.	2 VETERAN (Give last. Urs^arrS middle names) ,r ^ <- ?' 'V i- -	S' yV		3 BRANCH OF SERVICE IN WHICH HE SERVED ? Army ? Navy ? Marine Corps	
	4 STATE FROM WHICH HE S?RVEO	5 WAR IN WHICH. OR DATES BETWEEN WHICH. HE SERVED Cf~		6 IF SERVICE WAS CIVIL WAR jJ ? . Ay s '/- Q Union ? Confederate
	Please PROvidt the following information, if known			
number, company. ate.. name of ship)
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13 DATE OF BIRTH
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15 OATEOFOEATH
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10 PENSION/B
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14 PLACE OF BIRTHfCify, County. Stale
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16 PLACE OF DEATH rC/fy County. Slain ate.)
? Artillery
11 IF VETERAN LIVED IN A HOME FOR SOLDIERS. GIVE LOCATION (City & State)
17 NAME OF WIDOW OR OTHER CLAIMANT y
? Volunteers__________Q Regulars
12 PLACE(S) VETERAN LIVED AFTER SERVICE
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Do NOT write below ? Space is for our reply to you
YES We have located the file you requested above. The cost is $5.00 for the record.
We have copied all or part of the file for you. Make your check or money order for $5.00, payable to NATIONAL ARCHIVES TRUST FUND (NNMS). Do NOT send cash. Return your payment AND this invoice in the enclosed envelope. If the return envelope is missing, send your payment AND this invoice to: National Archives Trust Fund Board, P.O. Box 100221, Atlanta, GA 30384. We must have this invoice to match your payment with your copies. WE WILL HOLD THESE COPIES AWAITING RECEIPT OF PAYMENT FOR 30 DAYS ONLY, FROM DATE STAMPED BELOW.
? NO We were unable to locate the file you requested above.
O REQUIRED MINIMUM IDENTIFICATION OF VETERAN WAS NOT PROVIDED. Please complete items 2 (give full name), 3,4,5, and 6, and
resubmit your order.
I, O A SEARCH WAS MADE BUT THE FILE YQtMlEQUESTED ABOVE WAS NOT FOUND. When we do not find a record for a veteran, this does not mean that he did not serve. You may beijple to obtain information about him from the archives of the State from which he served.
LJ See attached forms, leaflets, or inform^on ?h&$t?
First Ml) and address within the block below. PRESS FIRML Y - the information MUST appear on all copies.
~ (Last. ttrtt. middle)
976
555
-90NON388
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NATIONAL ARCHIVES TRU9T FUNO BOARD NATF Form 80 (11-87)
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CITY. STATf
MAILROOM
(Zip Cod*)